The history of laparoscopy's development spans nearly a century, but it is in the last ten years that fundamental concepts, including contraindications, have undergone significant changes. Currently, it is difficult to find a consensus regarding conditions under which laparoscopic procedures are categorically contraindicated, and establishing a definitive and clear list is a matter for the future. Therefore, the list below is essentially an average and may vary significantly from clinic to clinic. Contraindications to laparoscopic procedures are divided into absolute and relative, as well as local and general. This division is arbitrary both for the reasons mentioned above and because it depends on the specific procedure for which it is being considered. For example, a pregnancy of 14 weeks would be a contraindication for laparoscopic hernia repair, but not for procedures for acute cholecystitis. Absolute contraindications include terminal conditions of the patient, coma. — Progressive decompensation of cardiopulmonary function. — Sepsis, diffuse purulent peritonitis. — Other severe concomitant pathologies and conditions that make the risk of surgical intervention unreasonably high. General contraindications. — Extreme obesity (often a relative contraindication). — Disorders of the blood coagulation system. — Late pregnancy. — Local or diffuse peritonitis or suspicion of it. — General infectious diseases. Local contraindications — Infectious and inflammatory processes of the anterior abdominal wall. — Previous open abdominal surgeries, severe adhesions in the abdominal cavity, cicatricial deformities of the abdominal wall (also a relative contraindication). Local contraindications also include changes and conditions of the organ on which the surgical intervention is planned. Thus, local contraindications to hernia repair include, in addition to those listed above, strangulated hernias, hernial intestinal obstruction, irreducible hernias, giant inguinal-scrotal hernias, and recurrence after laparoscopic hernia repair. Local contraindications to laparoscopic cholecystectomy include acute cholecystitis lasting more than 3-4 days, acute pancreatitis, obstructive jaundice, malignant neoplasms of the bladder, extensive adhesions in the upper abdominal cavity, bladder wall calcification, and bladder cancer.